He aha nā ʻano o ke kanesa prostate?
Inā ua ʻike ʻia ʻoe he maʻi ʻaʻai prostate, ʻo ia paha ke ʻano o ka adenocarcinoma. ʻO ka adenocarcinoma kahi ʻano maʻi ʻaʻai e hoʻomaka ana i loko o nā pūnaewele o nā glands e hoʻopuka i nā mea, e like me kou prostate. He mea kākaʻikahi loa, ulu ka maʻi ʻaʻai prostate mai nā ʻano pūnaewele ʻē aʻe. Aia kekahi mau ʻano kākaʻikahi ʻē aʻe:- Nā carcinomas cell liʻiliʻi
- Nā maʻi kanesa cell hoʻololi
- Nā puʻupuʻu neuroendocrine
- Nā Sarcomas
He aha nā hōʻailona o ke kanesa prostate?
I nā pae mua, he kakaikahi wale nā hōʻailona o ka maʻi kanesa prostate. ʻO ke ʻano kēia, ʻaʻole paha ʻoe e ʻike i kekahi mau loli i ka wā mua. Eia nō naʻe, i ka holomua ʻana o ke kanesa, e hoʻomaka paha ʻoe e ʻike i kekahi mau loli. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo :- Pono pinepine e mimi , i kekahi manawa wikiwiki, ʻoiai i ka pō .
- Ke kahe ʻana o ka mimi nāwaliwali, a i ʻole ka mimi e hoʻomaka ana e kahe a laila pau.
- ʻEha a wela paha ka ʻōpū i ka wā e mimi ai (kapa mākou i kēia dysuria ).
- ʻAʻole hiki ke kāohi i ka mimi ʻana (ua kapa ʻia kēia he incontinence urinary).
- ʻAʻole hiki ke kāohi i ka neʻe ʻana o ka ʻōpū (fecal incontinence).
- ʻEha i ka wā o ka ejaculation a me ka hana moekolohe ( erectile dysfunction - ED).
- Ke ʻike ʻana i ke koko i loko o ka semen a i ʻole ka mimi .
- ʻEha ma kou kua i lalo, nā pūhaka, a i ʻole ka umauma.
He aha nā kumu o ke kanesa prostate?
ʻOiaʻiʻo, ʻaʻole maopopo loa i nā loea pehea e lilo ai nā pūnaewele prostate i maʻi kanesa. E like me nā maʻi kanesa āpau, hoʻomaka ka maʻi kanesa prostate ke hoʻomaka nā pūnaewele e māhele wikiwiki ma mua o ka maʻamau. E noʻonoʻo wale, make nā pūnaewele maʻamau i loko o ko mākou kino ma hope o kekahi manawa. Akā, ʻaʻole make nā pūnaewele kanesa ma ia ʻano . Akā, hoʻomau lākou i ka hoʻonui ʻana a me ka hana ʻana i kahi puʻupuʻu. Ke hoʻomau nei kēia mau pūnaewele i ka māhele ʻana, hiki i nā ʻāpana o ka puʻupuʻu ke haki a laha i nā ʻāpana ʻē aʻe o ke kino (ua kapa ʻia kēia he metastasis). ʻO ka mea pōmaikaʻi, ulu mālie ka maʻi kanesa prostate . ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau puʻupuʻu ma mua o ka laha ʻana o ke kanesa ma waho o ka gland prostate. I kēlā manawa, ʻoi aku ka maikaʻi o ka manawa e hoʻōla ʻia ai ke kanesa prostate.ʻO wai ka mea i pilikia nui no kēia? (Nā kumu pilikia)
Aia kekahi mau kumu nui e kōkua ai i ka ulu ʻana o ke kanesa prostate:- Makahiki : Hoʻonui kēia pilikia i kou wā ʻelemakule. Inā ʻoe ma luna o 50, ʻoi aku ka nui o kou hiki ke loaʻa i kēia maʻi. Ma kahi o 60% o nā maʻi ʻaʻai prostate e loaʻa i nā kāne ma luna o 65.
- Lāhui a me ka lāhui : Inā he ʻeleʻele ʻoe a he mamo ʻApelika paha, ʻoi aku ke kiʻekiʻe o kou pilikia. He ʻoiaʻiʻo loa kēia no nā maʻi ʻaʻai ʻino e laha koke ana a me nā maʻi ʻaʻai i ʻike ʻia ma mua o 50 mau makahiki.
- Moʻolelo ʻohana o ka maʻi ʻaʻai prostate : Inā loaʻa i kekahi o kou ʻohana pili (e like me ka makuakāne a i ʻole ke kaikunāne) ka maʻi, e hoʻonui ʻia kou manawa e loaʻa ai i ʻelua a ʻekolu manawa.
- ʻIke Hoʻoilina : Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Lynch syndrome, a inā ua hoʻoilina ʻoe i nā hoʻololi gene (BRCA1 a me BRCA2) e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma, ʻoi aku ke kiʻekiʻe o kou pilikia.
- Puhi paka.
- Ka mumū ʻana o ka ʻōpū prostate (prostatitis).
- ʻOi aku ka helu o ke kino (BMI) ma mua o 30 (ʻo ia hoʻi ka momona).
- Nā maʻi i laha ma ke moekolohe (STIs).
- Ka hōʻike ʻana i ka Agent Orange (kahi kemika i hoʻohana ʻia i ka wā o ke Kaua Vietnam).
Pehea e ʻike ai nā kauka i kēia maʻi?
Hoʻohana nā kauka i kekahi mau hoʻokolohua e ʻike ai i ke kanesa prostate. ʻO kēia mau mea e komo pū me nā hoʻokolohua kino, nā scan, a i kekahi manawa he biopsy . Hoʻomaka ka hapa nui o ka poʻe e loaʻa i nā hoʻokolohua nānā ma kahi o 55 mau makahiki. Eia nō naʻe, inā ʻoe i ka pilikia kiʻekiʻe, hiki iā ʻoe ke hoʻomaka e loaʻa i kēia mau hoʻokolohua ma mua. Hoʻopau pinepine ʻia kēia mau hoʻokolohua ma hope o 70 mau makahiki. Inā hōʻike kēia mau hopena hoʻokolohua i kekahi mea ʻē, pono paha ʻoe i nā hoʻokolohua hou aʻe. Eia nō naʻe, inā manaʻo kāu kauka e ulu lohi ana ke kanesa a ʻaʻole ia e hoʻoulu i nā pilikia nui, e kali paha ʻo ia i kekahi manawa ma mua o ka hana ʻana i nā hoʻokolohua hou aʻe. Eia nō naʻe, inā e ulu wikiwiki ana ke kanesa a ua pālahalaha paha ma waho o ka prostate, pono maoli kahi biopsy e hōʻoia i ka hōʻailona .He aha nā hoʻokolohua i hoʻohana ʻia?
E kōkua kēia mau hoʻokolohua nānā iā ʻoe e hoʻoholo inā pono ʻoe i nā hoʻokolohua hou aʻe:- Hoʻokolohua Rectal Digital (DRE) : Ma kēia hoʻokolohua, hoʻokomo kāu kauka i kahi manamana lima i uhi ʻia me ka mīkina lima i loko o kou rectum a hoʻopā i kou gland prostate. Inā he mau puʻupuʻu a i ʻole nā wahi paʻakikī, he hōʻailona paha ia o ka maʻi kanesa.
- Hoʻāʻo koko Prostate-Specific Antigen (PSA) : Hoʻopuka ka gland prostate i kahi protein i kapa ʻia ʻo prostate-specific antigen (PSA). Hiki i ka pae PSA kiʻekiʻe i loko o ke koko ke lilo i hōʻailona o ka maʻi kanesa. Eia nō naʻe, hiki ke hoʻokiʻekiʻe ʻia nā pae PSA i nā kūlana ʻē aʻe ʻaʻole maʻi kanesa, e like me ka benign prostate hyperplasia (BPH) a i ʻole prostatitis. No laila, ʻaʻole manaʻo mau ka PSA kiʻekiʻe he maʻi kanesa .
- Kiʻi : Hiki i kahi MRI a i ʻole transrectal ultrasound ke kiʻi i nā kiʻi o kou prostate. Hiki i kēia mau kiʻi ke ʻike i nā wahi i kānalua paha no ka maʻi kanesa. Hiki i nā hopena o kēia mau hoʻokolohua kiʻi ke kōkua i kāu kauka e hoʻoholo inā e hana i kahi biopsy.
- Biopsy : Ma kēia hoʻāʻo, hoʻohana ke kauka i kahi nila liʻiliʻi e wehe i kahi hāpana o nā ʻiʻo mai ka prostate gland a nānā iā ia no nā hunaola kanesa. ʻO kēia wale nō ke ala e hōʻoia pono ai inā he kanesa prostate kou.Hiki iā ia ke haʻi i ke koʻikoʻi o ke kanesa a me ka wikiwiki o kona laha ʻana. I kekahi manawa ua hoʻāʻo ʻia kēia hāpana i ka hoʻokolohua genetic e kōkua i ka hoʻolālā ʻana i ka mālama ʻana.
He aha nā pae a me nā māka o ka maʻi kanesa prostate?
Hoʻohana nā kauka i nā mea e like me ka helu Gleason a me ke kahua o ke kanesa e hoʻoholo ai i ke koʻikoʻi o ke kanesa a me ke ʻano o ka lāʻau āu e pono ai.He aha ka helu Gleason?
ʻO ka helu Gleason e hiki ai i kāu kauka ke hoʻokaʻawale i ke ʻano ʻē o kāu mau hunaola kanesa. ʻO ka ʻoi aku ka ʻē o nā hunaola, ʻo ke kiʻekiʻe o ka helu Gleason. Hoʻoholo kēia helu i ke ʻano o ke kanesa, a i ʻole pehea ka wikiwiki o kona laha ʻana.Ka hoʻonohonoho ʻana o ke kanesa
ʻO ke ana ʻana o ke kanesa e hiki ai i kāu kauka ke hoʻoholo i ka mamao o ka ulu ʻana a i ʻole ka laha ʻana o kāu kanesa. Hiki ke kaupalena ʻia ke kanesa i ka prostate gland (kūloko), ua komo i nā ʻiʻo kokoke (ʻāpana), a ua pālahalaha paha i nā kino ʻē aʻe (metastasized). ʻO ka maʻamau, laha ka kanesa prostate i nā iwi a me nā lymph nodes . Hiki iā ia ke ulu i loko o ke akepaʻa, ka lolo, nā māmā, a me nā kino ʻē aʻe.Pehea e mālama ʻia ai ke kanesa prostate?
Aia kāu lāʻau lapaʻau ma luna o kekahi mau kumu. ʻO kēia mau mea kou olakino holoʻokoʻa, inā ua laha ka maʻi ʻaʻai, a me ka wikiwiki o kona laha ʻana. Ma muli o kāu lāʻau lapaʻau, pono paha ʻoe e hana pū me nā ʻano loea like ʻole (no ka laʻana, nā urologists, nā oncologists radiation, a me nā oncologists lapaʻau) . ʻO ka hapa nui o nā maʻi ʻaʻai prostate i ʻike mua ʻia hiki ke ho'ōla ʻia me ka lāʻau lapaʻau .Nā lāʻau lapaʻau a me nā lāʻau lapaʻau kikoʻī
Nānā ʻana
Inā lohi ka ulu ʻana o kou maʻi kanesa a ʻaʻole i pālahalaha, hiki i kāu kauka ke hoʻoholo e nānā iā ia me ka ʻole o ka mālama koke ʻana.- Nānā Hana : Ma kēia, e loaʻa iā ʻoe nā nānā mau ʻana, nā scan a me nā biopsies - ma kahi o hoʻokahi manawa i kēlā me kēia makahiki a ʻekolu - e nānā i ka holomua o ke kanesa. ʻOi aku ka maikaʻi o kēia no nā maʻi kanesa mua, haʻahaʻa ka pilikia i ʻike ʻole ʻia. Hoʻomaka wale ʻia ka lāʻau lapaʻau inā e ʻoi aku ka ʻino o ke kanesa.
- Ke Kali Makaʻala : Hoʻohana ʻia kēia ʻano hana no ka poʻe ʻelemakule a i ʻole ka poʻe me nā pilikia olakino ʻē aʻe. Hoʻokomo ia i nā hoʻokolohua liʻiliʻi a kau nui i ka hoʻomaha ʻana i nā hōʻailona ma mua o ka hoʻopau ʻana i ke kanesa.
ʻoki kino
ʻO ka prostatectomy radical kahi hana ʻokiʻoki e wehe ai i ka ʻōpū prostate maʻi.Hiki i kēia ʻoki kino ke hoʻopau pono i ke kanesa prostate i laha ʻole. Inā manaʻo kāu kauka e pōmaikaʻi ʻoe mai kēia ʻoki kino, e paipai ʻo ia i ke ʻano wehe kūpono loa nāu.- ʻO ka Prostatectomy Radical Hāmama : Ma kēia kaʻina hana, hana ke kauka i hoʻokahi ʻoki i loko o kou ʻōpū a wehe i ka gland prostate. ʻAʻole hoʻohana hou ʻia kēia kaʻina hana e like me nā kaʻina hana ʻē aʻe i emi iki ka invasive.
- ʻO ka Robotic Radical Prostatectomy : Ma kēia kaʻina hana, hiki i ke kauka ke hana i ke ʻoki ma o kekahi mau ʻoki liʻiliʻi loa. Hoʻokele ʻo ia i kahi ʻōnaehana robotic ma o kahi console.
Hoʻōla Pāhawewe
Hiki iā ʻoe ke loaʻa i ka radiation therapy no ke kanesa prostate ma ke ʻano he lāʻau hoʻokahi a i ʻole i hui pū ʻia me nā lāʻau ʻē aʻe. Hiki i ka radiation therapy ke hōʻoluʻolu i nā hōʻailona.- ʻO Brachytherapy : Pili kēia i ke kau ʻana i nā hua radioactive i loko o kou gland prostate. Hoʻopau kēia i nā hunaola kanesa me ka mālama ʻana i nā ʻiʻo olakino a puni.
- ʻO ka Lapaʻau Radiation Beam External (EBRT) : Hoʻokele kahi mīkini i kahi kukuna ikaika o nā kukuna X i ka puʻupuʻu. Hiki i nā ʻano hana holomua e like me IMRT ke kuhikuhi wale i ke kanesa me ka mālama ʻana i nā ʻiʻo olakino.
Nā Lapaʻau ʻōnaehana
Inā ua pālahalaha ke kanesa ma ʻō aku o kou prostate, hiki i kāu kauka maʻi kanesa ke ʻōlelo aku i nā lāʻau lapaʻau systemic. Holoholo kēia mau lāʻau lapaʻau ma ke kino holoʻokoʻa a pepehi i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.- Hoʻōla Hormone : ʻO ka Testosterone kahi hormone e kōkua ai i ka ulu ʻana o ke kanesa prostate. I ka hoʻōla hormone, pale a hōʻemi paha nā lāʻau lapaʻau i ka testosterone. Hiki i kekahi mau kāne ke hana ʻoki kino e wehe i nā testicles (orchiectomy) e hoʻōki i ka hana testosterone.
- Kemoterapia : Hoʻohana kēia lāʻau lapaʻau i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. No ke kanesa holomua, hiki ke hāʻawi wale ʻia a i ʻole me ka lāʻau lapaʻau hormone. Inā ua pālahalaha ke kanesa ma ʻō aku o ka ʻōpū prostate, hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy wale nō a i ʻole me ka lāʻau lapaʻau hormone.
- Immunotherapy : Hoʻoulu kēia i kāu ʻōnaehana pale e kōkua iā ia e ʻimi a hakakā i nā hunaola kanesa. Hoʻohana pinepine ʻia no ka maʻi kanesa holomua a i ʻole e hoʻi hou ana.
- Lapaʻau i Kūkuhi ʻia : Kuhi kēia mau lāʻau i nā hoʻololi genetic e hoʻoulu ai i ka maʻi kanesa. Hana maikaʻi lākou no nā maʻi kanesa me nā hoʻololi BRCA.
Hoʻōla Kūlohelohe
He lāʻau lapaʻau hou ka Focal therapy e hoʻopau ana i nā hunaola kanesa i loko o kou ʻōpū prostate. Hiki i kāu kauka ke paipai i kēia lāʻau lapaʻau inā haʻahaʻa ka pilikia o kāu kanesa a ʻaʻole i laha. He mau lāʻau hoʻokolohua ka hapa nui o kēia mau lāʻau lapaʻau.- ʻO ke Ultrasound i kālele ʻia me ka ikaika kiʻekiʻe (HIFU) : Hoʻopuka nā nalu kani ikaika kiʻekiʻe i ka wela nui a pepehi i nā hunaola kanesa i loko o kou prostate.
- Cryotherapy : Hoʻopaʻahau ka ea anuanu i nā hunaola kanesa i loko o kou prostate, e luku ana i ka puʻupuʻu.
- ʻO ka Ablation Laser : ʻO ka wela nui i kuhikuhi ʻia i ka puʻupuʻu kanesa e pepehi i nā hunaola kanesa i loko o ka ʻōpū prostate a luku i ka puʻupuʻu.
- Lapaʻau Photodynamic : Hoʻonui nā lāʻau lapaʻau i ka ʻike o nā hunaola kanesa i kekahi mau nalu o ke kukui. A laila hōʻike ke kauka i nā hunaola kanesa i kēlā mau nalu o ke kukui, e pepehi ana iā lākou.
He aha nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa prostate?
Aia kekahi mau hopena ʻaoʻao e hiki ke kū mai ka lāʻau lapaʻau:- ʻO ka hoʻokahe ʻole ʻana o ka mimi : Hiki iā ʻoe ke kahe i ka mimi ke ʻū ʻoe a ʻakaʻaka paha. A i ʻole e manaʻo paha ʻoe i ka pono koke e mimi ʻoiai ʻaʻole i piha kou ʻōpū mimi. ʻO ka maʻamau, e hoʻomaikaʻi kēia ʻano me ka ʻole o ka mālama ʻia i loko o 6 a 12 mau mahina .
- ʻO ka Erectile Dysfunction (ED) : Hiki i ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe ke hoʻopilikia i ka hiki ke loaʻa kahi kūkulu i ka wā o ka moekolohe. E ʻike paha ʻoe i kahi ʻokoʻa i kou ola moekolohe no hoʻokahi a ʻelua paha makahiki. Hiki i nā lāʻau lapaʻau e like me Sildenafil (Viagra®) a i ʻole Tadalafil (Cialis®) ke kōkua i kēia ma ka hoʻonui ʻana i ke kahe koko i ka penis.
- ʻAʻole hānau keiki : Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kāu hana sperm a i ʻole ka ejaculation. Inā ʻoe e manaʻolana nei e loaʻa nā keiki, e noʻonoʻo i ka sperm banking ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau . Ma hope mai, hiki ke kiʻi ʻia ka sperm a hoʻokomo ʻia i loko o ka ʻōpū o kāu hoa.
Inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao, e hōʻoia e hoʻomaopopo i kāu hui mālama maʻi kanesa . I ka manawa pinepine, hiki iā lākou ke ʻōlelo i nā lāʻau lapaʻau a me nā lāʻau lapaʻau e hiki ke kōkua.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Inā loaʻa iā ʻoe ka maʻi prostate, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me kēia:- Ua pālahalaha anei ke kanesa ma waho o koʻu prostate?
- He aha ka lāʻau lapaʻau maikaʻi loa no koʻu pae o ka maʻi kanesa prostate?
- He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
- Aia kekahi pilikia o ka maʻi ʻaʻai prostate i loko o koʻu ʻohana? Inā pēlā, pono anei mākou e hana i nā hoʻokolohua genetic?
- He aha ka mālama ma hope o ka lāʻau lapaʻau e pono ai iaʻu?
- Pono anei au e makaʻala i nā hōʻailona o nā pilikia?
He aha ke ʻano o ka manaʻolana e hiki ai i kahi kanaka me ka maʻi ʻaʻai prostate ke loaʻa?
Inā ʻike mua ʻia ke kanesa prostate, hiki iā ʻoe ke manaʻo i kahi hopena maikaʻi loa . Kanaiwakumamāiwa pakeneka (99%) o nā kāne i ʻike ʻia ma mua o ka laha ʻana o ke kanesa - ʻo ia hoʻi, e ola lākou no ka liʻiliʻi he ʻelima mau makahiki ma hope o ka ʻike ʻana . I ka hapanui o nā hihia, hiki ke hoʻopau loa ʻia ke kanesa i loko o ka gland prostate me ka lāʻau lapaʻau. Eia nō naʻe, inā ua laha ke kanesa (metastatic prostate cancer), ʻaʻole maikaʻi ka nui o ke ola - 32% wale nō o nā kāne me ke kanesa prostate metastatic e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻana. Ke ʻike ʻoe he kanesa prostate kou, loaʻa paha iā ʻoe kekahi mau manaʻo - a me nā nīnau he nui. Akā ʻo ka nūhou maikaʻi, inā ʻike mua ʻia, hiki ke mālama maikaʻi ʻia ke kanesa prostate . He nui ka poʻe e ola piha ana, ʻaʻohe kanesa no nā makahiki he nui ma hope o ka lāʻau lapaʻau. Eia nō naʻe, i kekahi mau hihia, hiki ke ʻoi aku ka koʻikoʻi a laha koke. E wehewehe kāu hui mālama kanesa i kāu mau koho a hāʻawi iā ʻoe i ke kākoʻo a me ke alakaʻi āu e pono ai ma o kēlā me kēia hoʻoholo, mai ka hoʻāʻo ʻana a hiki i ka lāʻau lapaʻau.Leka Hoʻihoʻi Hope Loa
He maʻi maʻamau a koʻikoʻi paha ka maʻi kanesa prostate i nā kāne. Akā, mai hopohopo . ʻO ka mea nui loa, ʻo ia ka makaʻala i nā hōʻailona a me ka nānā ʻana i ka makahiki kūpono . He mea nui loa ka hoʻāʻo ʻia no ka maʻi kanesa prostate, ʻoiai inā ʻoe ma luna o 50 a i ʻole inā ua loaʻa i kekahi o kou ʻohana ka maʻi. Inā ʻike mua ʻia, ua hoʻomohala ʻia nā ʻano lapaʻau e hiki ke ho'ōla loa i kēia maʻi i kēia lā . No laila, inā he kānalua kāu, mai hilahila a makaʻu paha e ʻike i ke kauka. ʻO ʻoe ka mea e mālama pono i kou olakino. E hoʻomanaʻo, ʻo ka mālama ʻana i kahi nohona olakino (ʻaʻohe puhi paka, ʻai kaulike, hoʻoikaika kino) e kōkua pū i ka pale ʻana iā ʻoe iho mai ia mau maʻi i kekahi ʻano .ʻO ke Kanesa Prostate, kanesa prostate, PSA, DRE, nā hōʻailona o ke kanesa, ka mālama ʻana i ke kanesa, ke olakino o nā kāne











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